Job Summary

• The Medical Management Clinician Senior is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or medical policies.
• This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy.
• Elevance Health offers a range of market-competitive total rewards including merit increases, paid holidays, Paid Time Off, incentive bonus programs, medical, dental, vision, disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs, and financial education resources.

Matching Summary

Skills & Requirements

Key Requirements

• minimum 6 years clinical or utilization review experience
• active valid LPN/LVN or RN license
• multi-state licensure if servicing multiple states
• high school diploma or equivalent

Work Rights